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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Costa, Fabio Robiony, Massimo Salvo, Iolanda Toro, Corrado Sembronio, Salvatore Politi, Massimo |
| Description | Country affiliation: Italy Author Affiliation: Costa F ( Department of Maxillofacial Surgery, University of Udine, Udine, Italy. costa.fabio@aoud.sanita.fvg.it) |
| Abstract | PURPOSE: Patients treated for dentofacial deformities may be predisposed to aggravated sinonasal disease postoperatively, particularly if concurrent rhinoplasty is performed. The authors present their experience with simultaneous rhinoplasty, maxillary/mandibular osteotomies, and functional endoscopic sinus surgery (FESS). PATIENTS AND METHODS: Thirteen patients were treated with simultaneous rhinoplasty, maxillary/mandibular osteotomies, and FESS from January 2002 to December 2005. An operative algorithm for patients with dentofacial deformities requiring rhinoplasty was developed. The surgical procedure was performed under general anesthesia with nasotracheal intubation and maxillary/mandibular osteotomies first. Nasotracheal intubation was then converted to orotracheal intubation and FESS was performed. The third step was correction of the esthetic deformities of the nose through an open approach. RESULTS: In all cases, it was possible to successfully complete the combined operation. Median operation time was: 2 hours and 18 minutes for orthognathic bimaxillary surgery, 54 minutes for rhinoplastic surgery; and 23 minutes for FESS. All the patients had good esthetic and functional results and were free from symptoms consistent with previous rhinosinusitis. CONCLUSION: The combination of orthognathic surgery, rhinoplasty, and FESS in selected cases is safe and effective. |
| File Format | HTM / HTML |
| ISSN | 02782391 |
| Issue Number | 7 |
| Volume Number | 66 |
| e-ISSN | 15315053 |
| Journal | Journal of Oral and Maxillofacial Surgery |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2008-07-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Medicine__semicolon__otorhinolaryngology__semicolon__surgery Endoscopy Maxillary Sinus Surgery Oral Surgical Procedures Methods Rhinoplasty Adult Cephalometry Female Humans Jaw Fixation Techniques Male Malocclusion, Angle Class Ii Malocclusion, Angle Class Iii Mandible Maxilla Maxillary Sinusitis Nasal Obstruction Journal Article |
| Content Type | Text |
| Resource Type | Article |
| Subject | Oral Surgery Otorhinolaryngology Surgery |
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